5179 I
BUILDING PERMIT
TOWN OF QUEENSBURY
No.5179
j WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Gtox" ;p aneeal II
OWNER of property located at Lot 104 Me prick St (St #14) Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a 0n* Fail 1M111 inci
at the above.location in accordance to application together with plot plans and other information hereto filed and o
approved and in cothpliance with the Town of Queensbury Building and Zoning Ordinance. M
1. OWNER'S Address is George P. decal II b
Rt. 2 Box 36B
Corinth, Now York 12822ca
2. CONTRACTOR or BUI LDER'S Name
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Same
3. CONTRACTOR or BUILDER'S Address I't
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Same
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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l X!Wood Frame ( ►Masonry ( )Stool ( ) e7
7. PLANS and Specifications C+
No. 241x68' per plot plan, specifications and application
spitted including sewage system and tiro-car attached
8. Proposed Use
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One-Family Dwelling
$5.00 C/O Paid
$ls6_l3 PERMIT FEE PAID—THIS PERMIT EXPIRES Decllbar 1912—
(if a longer period is required an application for an extension must be made to the Buildingand Zoning
town of Queensbury before the expiration date.) n9 inspector of the
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Dated at the Town of Queensbury this Ath Day of Ma3l 19jj _
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SIGNED BY for the Town of Queensbury
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Building and Zoning Inspector
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 25 1912
'Mis is to certify that work rQgpested to be dome as shown by Permit No. ,
has been comple"
This structure may be oc¢4Aed as a Or.e-
L csom Lot 104 Heinr�r,k ��. 'S tLnq
a ?4)
Qw4e George P, Senecal TT
By Order Town Board
TOWN OF QUBENSRURy
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Building Q►
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CN'EATIVE "INSTA" FAINTING. GLENS FALLS. N T 11&01 IS1O)793-BOSO